Questions About This Publication For assistance with shipments, billing or other customer service matters, please call our Customer Service Department at: 1-631-350-2100 To obtain a copy of this book, call our Sales Department: 1-631-351-5430 Fax: 1-631-351-5712 Toll Free Order Line: 1-800-887-4064 (United States & Canada) See our web page about this book: www.jurispub.com COPYRIGHT 2014 By Juris Publishing, Inc. All rights reserved. No part of this publication may be reproduced in any form or by any electronic or mechanical means including information storage and retrieval systems without permission in writing from the publisher. Printed in the United States of America ISBN 978-1-57823-375-5 Juris Publishing, Inc. 71 New Street Huntington, New York 11743 USA www.jurispub.com
Acknowledgments... xi About the Author... xiii Disclaimer... xv Notice.... xvii How to Use This Book... xix Introduction... xxiii CHAPTER 1 SUBROGATION GENERALLY 1.01 Elements... 1-1 1.02 Origins of Subrogation... 1-3 1.03 Types of Subrogation... 1-4 [1] Contractual (Conventional) Subrogation... 1-5 [2] Equitable (Legal) Subrogation... 1-7 [a] Difference between Subrogation and Assignment... 1-7 [b] Roles of Equity... 1-8 [3] Statutory Subrogation... 1-13 [a] Workers Compensation... 1-14 [b] Hospital Liens... 1-16 [c] Medicare... 1-16 [d] Medicaid... 1-21 [e] Interplay between Workers Compensation and Medicare/Medicaid... 1-26 [f] Federal Employees Health Benefit Act... 1-27 [g] Other Statutory Subrogation... 1-27 1.04 Purposes of Subrogation... 1-28 1.05 Anti-Subrogation Arguments... 1-30 CHAPTER 2 AUTOMOBILE INSURANCE 2.01 Generally... 2-2 2.02 History of Automobile Insurance... 2-3 [1] Origins... 2-3 iii
[2] History of the Automobile... 2-4 [3] Automobile Insurance in America... 2-5 2.03 Types of Automobile Insurance Coverage... 2-5 [1] Bodily Injury Liability... 2-6 [2] Property Damage Liability... 2-6 [3] Medical Payments Liability... 2-6 [4] Personal Injury Protection... 2-7 [5] Uninsured/Underinsured Motorist Coverage... 2-8 [6] Collision and Comprehensive Coverage... 2-10 [7] Add-Ons and Riders... 2-10 [a] Rental Reimbursement Coverage... 2-10 [b] Towing and Labor Coverage... 2-11 [c] Gap Auto Insurance Coverage... 2-11 [d] Waiver of Depreciation Coverage... 2-11 [8] Commercial Automobile Coverage... 2-11 [a] Automobile Liability... 2-12 [b] Hired and Non-Owned Coverage... 2-12 [c] Medical Payments... 2-12 [d] Personal Injury Protection... 2-12 [e] Uninsured Motorist Coverage... 2-12 [f] Underinsured Motorist Coverage... 2-13 [g] Pollution Exclusion Upset and Overturn... 2-13 [h] Drive Other Vehicle Coverage... 2-13 [i] Collision Coverage... 2-14 [j] Comprehensive Coverage... 2-14 [k] Garage Liability Coverage... 2-14 [l] Garagekeeper s Liability Coverage... 2-14 2.04 No-Fault Insurance Coverage... 2-15 [1] Generally... 2-15 [2] History... 2-16 [3] Personal Injury Protection Benefits... 2-17 [4] Thresholds... 2-17 [5] Limited Tort... 2-18 [6] Loss Transfer Statutes... 2-19 [7] No-Fault States... 2-20 [a] Modified No-Fault... 2-20 [b] Add-On No-Fault... 2-20 [c] Voluntary ( Choice ) No-Fault... 2-21 [8] Effectiveness and Future of No-Fault... 2-21 iv
CHAPTER 3 SUBROGATING MEDICAL AND PROPERTY DAMAGE CLAIMS 3.01 Auto Subrogation and the American Tort System... 3-3 3.02 Subrogation Suits and Interventions... 3-5 [1] Filing a Subrogation Lawsuit... 3-6 [2] Intervention in a Bodily Injury Action... 3-7 [a] Mandatory Joinder of Subrogated Party... 3-8 [b] Is the Subrogated Party a Plaintiff, Defendant or Other?... 3-9 [c] The Reverse Must Subrogated Party Join the Insured?... 3-10 [d] What Do You Do if You Are Not Joined?... 3-12 [3] Use of Subrogation Counsel... 3-13 3.03 Made Whole Doctrine... 3-16 [1] Garrity v. Rural Mutual Ins. Co.... 3-17 [2] Rimes v. State Farm Mutual Auto Ins. Co.... 3-17 [3] What Does It Mean to Be Made Whole?... 3-19 [a] Basic Test... 3-19 [b] Contributory Negligence... 3-19 [4] Allocation of Damages... 3-26 [5] Attorney s Fees... 3-27 [6] Where Policy Specifically Negates Made Whole Doctrine... 3-27 3.04 Common Fund Doctrine... 3-34 3.05 Statute of Limitations... 3-36 3.06 Uninsured Motorist Subrogation... 3-37 [1] Generally... 3-38 [2] Collection Law.... 3-38 [3] Consent-to-Sue Clause.... 3-39 [4] Consent-to-Settle Clause... 3-39 [5] Substituted Payments.... 3-40 [6] UM/UIM Offsets.... 3-42 [a] Personal Injury Protection (PIP) Payments... 3-42 [b] Liability Payments... 3-43 3.07 Collision Subrogation... 3-43 3.08 PIP / Med Pay Subrogation... 3-45 [1] Overview... 3-45 [2] PIP Subrogation... 3-48 v
[3] Med Pay Subrogation... 3-49 3.09 Release of Tortfeasor by Insured... 3-49 3.10 Waiting for Insured s Bodily Injury Claim to Settle... 3-50 [1] Third-Party Carrier Requirement.... 3-51 [2] Statutory Requirement.... 3-51 3.11 Anti-Subrogation Statutes... 3-51 3.12 Arbitration... 3-53 [1] Generally... 3-53 [2] History of Arbitration... 3-54 [3] Intercompany Arbitration... 3-56 [a] Auto Subrogation Arbitration... 3-57 [b] Personal Injury Protection Arbitration... 3-58 [c] Medical Payment Subrogation Arbitration... 3-59 [d] Uninsured Motorists Subrogation... 3-59 [e] Special Arbitration... 3-60 [f] Claims Excluded for Arbitration... 3-60 [4] Intercompany Arbitration Providers... 3-61 [5] Arbitration Services and Outsourcing... 3-62 [6] Use of Subrogation Counsel in Arbitration... 3-63 3.13 Reimbursement of Insured s Deductible... 3-63 3.14 Rental Vehicles, Loaner Vehicles, and Test Drivers... 3-69 3.15 Bailment... 3-72 3.16 Guest Statutes / Family Purpose Doctrine... 3-74 [1] Guest Statutes... 3-74 [2] Family Purpose Doctrine... 3-77 [3] Parental-Immunity Doctrine... 3-78 3.17 Economic Loss Doctrine... 3-80 [1] Definition of Economic Loss... 3-80 [2] Purpose of Economic Loss Doctrine... 3-82 [3] History of Economic Loss Doctrine... 3-82 [4] Minority Rule... 3-83 [5] Majority Rule... 3-84 [6] Intermediate Rule... 3-85 [7] Other Property Exception... 3-86 [8] Warranties... 3-87 [9] Economic Loss Doctrine in Wisconsin... 3-88 [a] Generally... 3-88 [b] First Recognized... 3-88 [c] Other Property Exception... 3-89 [d] Component Parts... 3-90 vi
[e] Asbestos Exception... 3-91 [f] Privity... 3-91 [g] Consumer Transactions... 3-91 [h] Public Policy Exceptions... 3-92 [i] Fraud and Misrepresentation... 3-92 [j] Service Contract versus Product... 3-94 3.18 Multiple Claims in Excess of Liability Limits... 3-95 [1] First Come, First Served Approach... 3-95 [2] First to Judgment Approach... 3-96 [3] Pro Rata Approach... 3-96 [4] Good Faith, Bad Faith Approach... 3-96 [5] Interpleader... 3-97 3.19 Interstate Subrogation and Conflict of Laws... 3-97 [1] Interstate Subrogation... 3-97 [2] Conflict of Laws... 3-97 3.20 Subrogation and Fair Debt Collection Practices... 3-102 [1] Federal Fair Debt Collection Practices Act (FDCPA)... 3-103 [2] State Decisions and Laws Consumer Protection Acts... 3-109 3.21 Direct Action Statutes... 3-117 CHAPTER 4 AUTOMOBILE INSURANCE SUBROGATION IN ALL 50 STATES Introduction... 4-1 4.01 Alabama... 4-3 4.02 Alaska... 4-41 4.03 Arizona... 4-67 4.04 Arkansas... 4-91 4.05 California... 4-127 4.06 Colorado... 4-175 4.07 Connecticut... 4-215 4.08 Delaware... 4-247 4.09 District of Columbia... 4-283 4.10 Florida... 4-309 4.11 Georgia... 4-357 4.12 Hawai i... 4-395 vii
4.13 Idaho... 4-437 4.14 Illinois... 4-457 4.15 Indiana... 4-507 4.16 Iowa... 4-541 4.17 Kansas... 4-565 4.18 Kentucky... 4-591 4.19 Louisiana... 4-629 4.20 Maine... 4-667 4.21 Maryland... 4-689 4.22 Massachusetts... 4-717 4.23 Michigan... 4-747 4.24 Minnesota... 4-807 4.25 Mississippi... 4-841 4.26 Missouri... 4-859 4.27 Montana... 4-885 4.28 Nebraska... 4-911 4.29 Nevada... 4-931 4.30 New Hampshire... 4-951 4.31 New Jersey... 4-969 4.32 New Mexico... 4-1017 4.33 New York... 4-1035 4.34 North Carolina... 4-1105 4.35 North Dakota... 4-1125 4.36 Ohio... 4-1149 4.37 Oklahoma... 4-1181 4.38 Oregon... 4-1203 4.39 Pennsylvania... 4-1237 4.40 Rhode Island... 4-1271 4.41 South Carolina... 4-1287 4.42 South Dakota... 4-1303 4.43 Tennessee... 4-1319 4.44 Texas... 4-1339 4.45 Utah... 4-1377 4.46 Vermont... 4-1397 4.47 Virginia... 4-1413 4.48 Washington... 4-1435 4.49 West Virginia... 4-1471 4.50 Wisconsin... 4-1499 4.51 Wyoming... 4-1541 viii
CHAPTER 5 SUSPENSION OF DRIVER LICENSES AND CRIMINAL RESTITUTION 5.01 Suspension of Driver Licenses Generally... 5-1 5.02 Driver License: Privilege or Right... 5-2 5.03 Criminal Restitution Generally... 5-4 5.04 Suspending Driver Licenses and Criminal Restitution in All 50 States... 5-5 Table of Cases... TC-1 Table of Statutes... TS-1 Table of Other Authorities... TOA-1 ix